MALE BREAST CANCER: RISK FACTORS, DIAGNOSIS AND TREATMENT

Chornobay A. V.

MALE BREAST CANCER: RISK FACTORS, DIAGNOSIS AND TREATMENT


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About the author:

Chornobay A. V.

Heading:

LITERATURE REVIEWS

Type of article:

Scientific article

Annotation:

The aim of the review is to study the incidence of breast cancer (BC) in men, the history of this pathology, and also to review the risk factors of diagnosis and treatment options, in particular adjuvant endocrine therapy. Foreign and domestic sources, as well as the results of several clinical studies, were analyzed. According to the latest NCCN clinical recommendations for the treatment of BC, an indication for genetic counseling is detected BC in men. At the 1st stage, mutations in the BRCA1 and BRCA2 genes are determined by the polymerase chain reaction method. Di agnosis of BC in men uses the same methods as in women. Given the relatively small number of cases, randomized controlled trials of BC treatment methods are extremely limited, and most recommendations are based on studies of breast cancer in women. Due to anatomical features, organ-preserving surgeries in men are practically not per formed (from 5 to 10%). Neoadjuvant therapy is carried out according to the same schemes as in women. Almost all studies indicate that in malignant tumors of the male breast the level of estrogen receptors is, on average, higher than in women. Clinically significant levels of estrogen receptors are found in more than 85% of breast tumors in men. Therefore, adequate treatment of BC is impossible without the use of endocrine adjuvant therapy. According to recent clinical studies, estrogen receptor blockers and gonadotropin-releasing hormone agonist analogues are preferred.

Tags:

endocrine therapy, male breast cancer, risk factors, treatment

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Publication of the article:

«Bulletin of problems biology and medicine», 2026 Issue 1, 180, 151-161 pages, index UDC 618.19-006.6:615.849.19

DOI:

10.29254/2077-4214-2026-1-180-151-161

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